Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $22.93 / $87.18	Facility		$9.88	$22.93	$87.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.23 / $15.84	Professional		$9.88	$12.23	$15.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $1,237.20 / $1,771.67	Facility		$48.72	$1,237.20	$1,771.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $41.14 / $85.42	Facility		$18.22	$41.14	$85.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.24 / $21.48	Professional		$8.94	$11.24	$21.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $10.25 / $14.91	Professional		$7.46	$10.25	$14.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $6,950.00 / $8,702.00	Facility		$6,950.00	$6,950.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.12 / $14.91	Professional		$9.75	$12.12	$14.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $16.78 / $22.37	Facility		$10.25	$16.78	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $11.18 / $19.11	Professional		$6.52	$11.18	$19.11